Izinhloko eziningi, kuyilapho zibuhlungu futhi ziphazamisa empilweni yethu, azibonakali isimo sezempilo esingathí sina. Nokho, ezimweni ezingavamile, ikhanda lakho lingaba uphawu lokuqala lokuthi kukhona okuyingozi emzimbeni. I-pituitary tumor apoplexy yisinye isibonelo sesimo esingavamile kodwa esingasongela ukuphila esibangela ukushaya ikhanda okukhulu, okungazelelwe.
Ama-Pituitary Basics
I-"pituitary" ingxenye yalesi simo ibhekisela emgodini we-pituitary, isitho esihlala phansi ebuchosheni. Le gland ngokuvamile ibizwa ngokuthi i-master gland ngoba ikhipha ama-hormone amaningi emzimbeni. Okufingqiwe ngezansi uhlu lwama-hormone olwenziwa yi-pituitary gland:
- I-hormone evuselela i-thyroid ("TSH") : Ikhuthaza igulane le- thyroid- elifakwa entanyeni-ukukhulula ama-hormone, alawula indlela umzimba owenza ngayo futhi usebenzise amandla.
- I-hormone ye-Adrenocorticotropic ("ACTH") : Ikhuthaza izigulane eziyingozi-ezifakwa phezulu kwezinso-ukukhulula i-hormone cortisol, elawula indlela umzimba olawula ngayo amazinga ashukela nokucindezeleka.
- I-Luteinizing Hormone / Follicle-Incitating Hormone : Ikhuthaza ama-ovari kumuntu wesifazane ukukhulula i-estrogen ne-progesterone kanye nama-testicles owesilisa ukuze akhiphe isifo se- testosterone .
- I-prolactin : Ikhuthaza ukukhiqizwa ubisi kuma-lactating abesifazane.
- Ukukhula kweHormone : Ilawula ukukhula nokusikeka kwemisipha / fat.
I-Pituitary Tumor Apoplexy
E-aptuxy apoplexy, i-bleeding in the gland pituitary noma ukulahlekelwa kwegazi ekuguleni. Eziningi, kodwa hhayi zonke izimo ze-pituitary apoplexy, isiguli sesivele sinesifo sofuba. I-tumor ikhula phezu kwe-gland futhi kuvame ukuvimbela ukukhululwa kwamahomoni athile, ikakhulukazi uma isisu sikhulu.
Kodwa ngezinye izikhathi umuntu akazi ukuthi banesifo kuze kube yilapho i-apoplexy noma iphuma egazini ivela.
Izimbangela
Ngokwenhlolo-ka-2001 e-Emory University School of Medicine kuyi- Journal of Neurology, i-Neurosurgery, ne-Psychiatry , izinto ezandisa ithuba lomuntu lokuthuthukisa i-pituitary apoplexy zihlanganisa:
- ukuhlukunyezwa
- ukukhulelwa
- ukugula okukhulu njengokuhlaselwa kwenhliziyo
- ukutheleleka okukhulu
Izimpawu
Umuntu one-tumor aporoxy ngokuvamile uqala ngokungazelelwe, ikhanda elibi eliphambi kwekhanda kanye / noma ngemuva komunye noma kokubili amehlo. Umuntu angase abe nezinkinga ze-hormone ezivela egazini eliphuma egazini, elichaphazela ikhono le-pituitary gland lokukhulula ama-hormone. Isibonelo, umuntu one-pituitary apoplexy angase abe nomfutho wegazi ophansi futhi ushukela ophansi wegazi kusuka ekwenzeni i-ACTH.
Ezinye izimpawu ze-pituitary tumor apoplexy zingabandakanya:
- Nausea / ukuhlanza
- Umbono ushintsho
- Fever
- Intamo yentamo
- Ukudideka
Ukuxilongwa Nokunakekelwa
I-pituitary tumor apoplexy iyisimo esiphuthumayo sezokwelapha futhi sidinga isithombe esisheshayo nge-CT scan noma i-MRI yobuchopho. Ingafana nezinye izimo zezokwelapha ezibalulwe ngezansi, ngakho-ke kubalulekile ukuthola ukuhlolwa okuphelele ngudokotela ophuthumayo. Izibonelo zezinye izimo zempilo ezimbi ezingase zidale isifo esinzima, esibuhlungu esifana ne-pituitary tumor apoplexy sihlanganisa:
- Ukubhujiswa kwe-Subarachnoid
- I-thrombosis ene-cerebral venous
- I-Meningitis / i-Encephalitis
- Isimo esibucayi se-Hypertensive
- I-Dissection ye-Cervical Artery
Uma umuntu ethola ukuthi unesifo se-pituitary tumor apoplexy, uyovame ukunikezwa uketshezi kanye ne-steroid ngokusebenzisa umvuthwandaba, ikakhulukazi uma kutholakala ukuntuleka kwe-ACTH. Khona-ke umuntu uzoqapha eduze esibhedlela nganoma yimiphi imibono, izinzwa ze-neurological, noma i-hormone izinguquko. Ngezinye izikhathi ukuhlinzwa kobuchopho kuyadingeka ukuze kuqiniswe ukuphuma futhi / noma ukukhipha isisu.
Ukulandelwa kwesikhathi eside kubalulekile kubantu abane-tumor aporosis. Umuntu ngokuvamile uzodinga ukubona i-neurosurgeon ne-endocrinologist ukuze kuhlolwe imithi ye-MRI ye-pituitary gland kanye nokuhlolwa kwegazi kwe-hormone ejwayelekile.
Ngaphansi
Ngenkathi lesi simo singavamile kanti iningi lezinsizwa asinaso isizathu esibuhlungu, kubalulekile ukuthi uqaphele amaphethini akho amakhanda, izimbangela, kanye nenkambo. Uma ikhanda lakho linempawu zokuxwayisa, kubalulekile ukufuna usizo lwezokwelapha ngokushesha.
Imithombo:
I-Agostoni E, i-Rigamonti A. Izinsizi ezinzima eziyingozi. Neurol Sci . 2008; 29: S107-9.
I-Biousse V, uNewman N, Ovesiku N. Izizathu ezithintekayo kwi-pituitary apoplexy. J Neurol Neurosurg Psychiatry . 2001; 71 (4): 542-5.
U-Nawar RN, u-AbdelMannan D, uSelman WR, i-Arafah BM. I-Pituitary tumor apoplexy: ukubuyekezwa. J Ukukhathazeka Okujulile . 2008; 23 (2): 75-90.
I-Ranabir S, i-MPs Baruah. I-Pituitary apoplexy. I-Indian J Endocrinol Metab . 2011; 15 Suppl 3: 188-96.
Welt CK. I-hypothalamic-pituitary axis. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.